reproduces back painleg lifted straight up until there is painnormal = 80 degrees**When there is pain, lower the leg and dorsiflex the foot to stretch the sciatic nerve (Lasegue's) = pain with the sciatic nerve:

Pain on both sides doing the straight leg raise test and the contralateral test may indicate what?

Definition

a space-occupying lesion (disc)

Term

Hoover test

Definition

test for malingerers (people faking it)Patient supine and physician holds beneath the patient's calcaneuswhen the pt tries to raise one leg, there should be contralateral pressure on the opposite heel if the person is trying

Term

Kernig Test

Definition

stretches the spinal cordpatient is supine and forcibly flexes head onto chestpain down to the low back or in the leg means meningeal irritation

Term

Thomas test

Definition

assessment for contralateral restricted or shortened iliopsoas muscleflex one thigh up to abdomen/chestconsidered positive if opposite knee lifts off the tablecan be active or passive

which organs and body parts receive sympathetic innervated from T12-L2

Definition

left colonbladderprostatelower extremity

Term

spondylolisthesis

Definition

forward splippage of one vertebral body on the one below it (usually due to fracture in the pars interarticularis)L4/5 most common50% is asymtomatic until age 20 or >pain quality and location: aching pain in low back, buttocks and posterior thigh

developmental anomaly defect in closure of lamina of the vertebral segmentusually in the lumbar spine

Term

types of spina bifida

Definition

1. Occulta = no herniation, may see a coarse patch of hair over site on PE, neuological defects rare2. Meningocele = herniation of the meninges through the defect3. Meningomyelocele = herniation of both meninges and nerve roots through the defect; associated with neuological defects

shear betwen the innominate and sacrumsymptoms seen on side of dyfunction:- iliac crest more superior- ASIS more superior- PSIS more superior- pubic ramus more superior (tubercle)- medial malleolus cephalad (short leg)often associated with pelvic pain or low back painmay be caused by fall on one ischial tuberosity (trauma)

Term

Inferior innominate shear (downslipped)

Definition

shear between the innominate and sacrumrare and walking tends to reduce itsymptoms on side of dysfunction:- iliac crest more inferior- ASIS more inferior- PSIS more inferior- pubic ramus more inferior- medial malleolus inferior (long leg)may be associated with pelvic or low back pain

Term

Posterior Innominate (Ilial) Rotation

Definition

Rotated posteriorly around transverse axis compared to other innominateSymptoms on side of dysfunction:- ASIS more superior- PSIS more inferior- medial malleolus superior (short leg)inguinal/groin pain and knee pain may occurresistant to anterior rotation of the pelvis

right rotation on right oblique axis, then left on left oblique axis (reversible, neutral oblique mechanics)

Term

How is the lumbar spine affected during the walking cycle?

Definition

induces side bending of the lumbar spine towards the side of weight bearing leg

Term

How is the ilium affected during the walking cycle?

Definition

anterior rotation of the weight bearing ilium and posterior rotation of the opposite ilium

Term

pubic symphysis

Definition

fibrocartilanginous joint that has motion determined by its anatomic shape, ligaments and muscular attachment (which can rotate it accordingly)motion occurs at a transverse axis during normal gainabduction dysfunction normal during pregnancy and childbirth

Term

Braggard's test

Definition

lower leg slightly and dorsiflex the foot if negative: pain from straight leg raise test may be secondary to tight hamstring

Term

which pelvic ligament divides the greater and lesser sciatic foramen?

Definition

sacrospinous ligament

Term

primary pelvic muscles

Definition

levator anicoccygeus muscle (make up the pelvic diaphragm)

Term

secondary pelvic muscles

Definition

these have a partial attachment to the true pelvisiliopsoasobturator internuspiriformis